Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-10-13
- Stop
- 2010-10-13
The parties
- Patient
- patient Howard Thanh Treutel
- Provider
- provider Danilo Haley
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
0f92d8ab-2a11-4a72-f891-0cdb06c91ae9