Claim total
$1,212.29
base $155.66 · payer covered $698.08
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2026-08-28
- Stop
- 2026-08-28
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
031e24ca-9978-b353-07e8-1e053aa4a97e