Claim total
$5,290.88
base $155.66 · payer covered $5,290.88
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-10
- Stop
- 2021-04-10
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-c5e2-54d4-4e99-e923910b8ca0