Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2023-12-05
- Stop
- 2023-12-05
The parties
- Patient
- patient Marcus Dario Koss
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
201f7384-7295-de66-7c52-cdd997e142a0