Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-06-04
- Stop
- 2022-06-04
The parties
- Patient
- patient Eddy Brain Padberg
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
06fbd395-4cad-21bc-dd66-8043d462acf7