Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-07-19
- Stop
- 2022-07-19
The parties
- Patient
- patient Toney Jerrold Thiel
- Provider
- provider Miki Kirlin
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
20a5801b-111d-378f-e91f-a2d8f4159661