Claim total
$1,175.23
base $93.39 · payer covered $705.13
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-07-21
- Stop
- 2023-07-21
The parties
- Patient
- patient Agnus Jaskolski
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
00bd0ed6-396a-5390-b933-1b7e66920088