Claim total
$291.66
base $155.66 · payer covered $103.79
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-27
- Stop
- 2021-05-27
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-4d77-da0b5e7380b7