Claim total
$4,727.65
base $155.66 · payer covered $4,677.65
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 1994-03-27
- Stop
- 1994-03-27
The parties
- Patient
- patient Soledad Rocio Aguirre
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
060aa7a8-9653-5ae4-ae6f-b845bc763cef