Claim total
$155.66
base $155.66 · payer covered $155.66
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2025-12-06
- Stop
- 2025-12-07
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-f059-900c6df4dd83