Claim total
$838.28
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-02-26
- Stop
- 2006-02-26
The parties
- Patient
- patient Bella Mackenzie Collier
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
287b8294-4925-88c5-2ceb-399efda4ca2b