Claim total
$1,365.48
base $93.39 · payer covered $1,092.37
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-06-12
- Stop
- 2024-06-12
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-5437-6186ac7a44e0