Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-07
- Stop
- 2021-05-07
The parties
- Patient
- patient Agnus Jaskolski
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
00bd0ed6-396a-5390-92aa-4719056caf1a