Claim total
$10,460.42
base $125.00 · payer covered $2,619.85
The visit
- Class
- Virtual
- Code
- 453131000124105
- Reason
- —
- Start
- 2021-03-05
- Stop
- 2021-03-06
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-8e1b-3610453e6cf9