Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2022-02-07
- Stop
- 2022-02-07
The parties
- Patient
- patient Carley Marla Von
- Provider
- provider Julius Welch
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
032fec8b-a285-8108-3441-b1956bf91174