Claim total
$1,016.77
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-09-19
- Stop
- 2015-09-19
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-ac11-5c6d8586cfcd