Claim total
$99.69
base $93.39 · payer covered $64.69
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-08-18
- Stop
- 2021-08-19
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03ef4f74-940b-d219-be7c-9040b0a90eb7