Claim total
$291.66
base $155.66 · payer covered $256.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-22
- Stop
- 2021-05-22
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
02680c28-26cc-4bca-9c74-fd25bcbe94c3