Claim total
$978.26
base $155.66 · payer covered $943.26
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2023-05-06
- Stop
- 2023-05-06
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-3ee2-b3eedf1d5d1c