Claim total
$8,102.49
base $155.66 · payer covered $8,102.49
The visit
- Class
- Ambulatory
- Code
- 308335008
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2024-01-30
- Stop
- 2024-01-30
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0266f4cc-2c2d-37bb-a29f-c4d67dccdc5e