Claim total
$53,702.76
base $155.66 · payer covered $28,565.27
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-03-03
- Stop
- 2018-03-03
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-e8f2-83d3203aa458