Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1970-01-02
- Stop
- 1970-01-02
The parties
- Patient
- patient Luba Aurora Lind
- Provider
- provider Hope Wisoky
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
3ac473f7-cf22-bcad-c829-cf9f30212fed