Claim total
$1,672.52
base $93.39 · payer covered $1,522.52
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-08
- Stop
- 2017-11-08
The parties
- Patient
- patient Ronald Inga Torphy
- Provider
- provider Dusty Barrows
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
05af61d0-e78c-a60a-de5b-8ef207bcd3a3