Claim total
$1,212.29
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2020-03-27
- Stop
- 2020-03-27
The parties
- Patient
- patient Marilynn Jaimie Pouros
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0126af27-a469-d3f6-6443-78ae29c7df62