Claim total
$155.66
base $155.66 · payer covered $93.40
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2025-09-24
- Stop
- 2025-09-24
The parties
- Patient
- patient Latesha Heaney
- Provider
- provider Minh Thiel
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
02ab4e74-e091-f51b-2aa2-48573d529a56