Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2020-12-22
- Stop
- 2020-12-22
The parties
- Patient
- patient Shavonne Zboncak
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
20c58944-4778-30e8-b101-b349ebf938d5