Claim total
$899.40
base $93.83 · payer covered $899.40
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-05-02
- Stop
- 2026-05-03
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Brynn Jones
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-8c2e-6de60d5cd664