Claim total
$6,842.66
base $155.66 · payer covered $6,807.66
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2023-05-18
- Stop
- 2023-05-18
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-5b44-d711b64dc768