Claim total
$194.65
base $93.39 · payer covered $194.65
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2020-05-09
- Stop
- 2020-05-10
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-dbe5-c334c5a6ed1e