Claim total
$1,469.90
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-11-25
- Stop
- 2017-11-25
The parties
- Patient
- patient Horace Isaac King
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
313a5994-1cdb-4eec-0963-3d58a1e9498a