Claim total
$1,650.41
base $93.39 · payer covered $1,600.41
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-10-13
- Stop
- 2020-10-13
The parties
- Patient
- patient Matt Stanton Brown
- Provider
- provider Annabell Turcotte
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04e52287-fbd6-ff57-f963-8f63ec99bca9