Claim total
$291.66
base $155.66 · payer covered $291.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-20
- Stop
- 2021-03-20
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-2b22-8b7c2a5c2778