Claim total
$443.01
base $93.39 · payer covered $393.01
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-08-26
- Stop
- 2016-08-26
The parties
- Patient
- patient Wilson Teodoro Kihn
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04540647-5ff4-de4a-7ffb-79d9e23d65cb