Claim total
$980.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-05-27
- Stop
- 2020-05-27
The parties
- Patient
- patient Jefferson Fredrick Stamm
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-585f-3129c2e6f0de