Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 2012-04-19
- Stop
- 2012-04-19
The parties
- Patient
- patient Jenae Donette Kuhlman
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
2cd4fc8f-80c5-4044-3ced-508502520bd2