Claim total
$155.66
base $155.66 · payer covered $105.66
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 1994-03-23
- Stop
- 1994-03-23
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-d0cd-55b45c5e456b