Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2015-02-18
- Stop
- 2015-02-18
The parties
- Patient
- patient Minta Ashley Bradtke
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
30e44971-6530-f6f8-34bf-fa2a96f76689