Claim total
$1,111.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-03-08
- Stop
- 2014-03-09
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-a016-0828b22facd8