Claim total
$1,416.48
base $125.00 · payer covered $1,416.48
The visit
- Class
- Virtual
- Code
- 185316007
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2021-03-09
- Stop
- 2021-03-09
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-3f22-298d66fae691