Claim total
$13,422.16
base $155.66 · payer covered $10,737.73
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2016-10-05
- Stop
- 2016-10-05
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-a6f6-a211e6f76757