Claim total
$979.27
base $93.39 · payer covered $979.27
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2021-03-07
- Stop
- 2021-03-07
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-7920-35391b211a83