Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Partial thickness burn403191005
- Start
- 2021-01-10
- Stop
- 2021-01-10
The parties
- Patient
- patient Ines Jose Greenfelder
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
025967b2-09e2-065d-f509-d10ebd6d46a2