Claim total
$1,622.36
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-04-29
- Stop
- 2023-04-30
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Luanna Bogan
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-b793-cf7250e02ff3