Claim total
$1,052.92
base $93.39 · payer covered $1,052.92
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-09-14
- Stop
- 2022-09-14
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-8b0d-113ed369fa5f