Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-08
- Stop
- 2021-05-08
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
00a2ce2f-1e05-ab20-f73f-655119576857