Claim total
$910.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-02-13
- Stop
- 2020-02-13
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Danilo Haley
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Anthem
Record id
023818a4-3852-fbab-79bd-9a9944c69b6e