Claim total
$978.26
base $155.66 · payer covered $978.26
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2021-06-19
- Stop
- 2021-06-19
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-41ef-97ed3b7f36e3