Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2020-04-30
- Stop
- 2020-04-30
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Luis Miguel Barajas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
02579c91-f636-e7d1-ee9e-687fa66b85e7