Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2021-09-04
- Stop
- 2021-09-04
The parties
- Patient
- patient Jess Thurman Luettgen
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
24096d22-1a21-4b00-e53f-a124c5ed856a