Claim total
$775.00
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-06-12
- Stop
- 2023-06-12
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Luanna Bogan
- Care site
- care site HENNEPIN COUNTY
Record id
017647b2-914f-2bdf-aa1d-77e259c18332