Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2021-09-27
- Stop
- 2021-09-27
The parties
- Patient
- patient Jess Thurman Luettgen
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
24096d22-1a21-4b00-4d1d-212dd75317a4