Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of forearm65966004
- Start
- 2017-07-17
- Stop
- 2017-07-17
The parties
- Patient
- patient Matt Stanton Brown
- Provider
- provider Lyman Howell
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04e52287-fbd6-ff57-c513-abe402d9f722