Claim total
$1,221.56
base $93.39 · payer covered $1,171.56
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2022-08-03
- Stop
- 2022-08-04
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-c104-b8f28aa2c00d