Claim total
$5,579.01
base $155.66 · payer covered $5,579.01
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-04-24
- Stop
- 2021-04-24
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-e64e-80abb9efde7b