Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2021-10-19
- Stop
- 2021-10-19
The parties
- Patient
- patient Samuel Earnest Turcotte
- Provider
- provider Dusty Barrows
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
05c29541-7f3e-5d79-08cc-ebb5c01d1741