Claim total
$566.96
base $155.66 · payer covered $516.96
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 1996-07-31
- Stop
- 1996-07-31
The parties
- Patient
- patient Soledad Rocio Aguirre
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
060aa7a8-9653-5ae4-f5f5-d44527d893ce