Claim total
$976.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-07-15
- Stop
- 2023-07-15
The parties
- Patient
- patient Hosea Sterling MacGyver
- Provider
- provider Hermine Stoltenberg
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
06447c96-5e71-8652-9039-af3c5933b77b