Claim total
$985.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2009-09-14
- Stop
- 2009-09-14
The parties
- Patient
- patient Eliseo Laverne Nader
- Provider
- provider Kanesha Bruen
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
2c167999-289d-95fa-e3ff-2b8b307ee047