Claim total
$1,319.52
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-09-22
- Stop
- 2018-09-22
The parties
- Patient
- patient Hosea Sterling MacGyver
- Provider
- provider Horacio Baumbach
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
06447c96-5e71-8652-a324-9974f0a1bc65