Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Major depressive disorder370143000
- Start
- 1984-11-06
- Stop
- 1984-11-06
The parties
- Patient
- patient Josh Shane Leannon
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
1476d15d-eaee-a45a-5bb0-f499ed889c36