Claim total
$10,211.47
base $155.66 · payer covered $10,176.47
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2022-09-08
- Stop
- 2022-09-08
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
04658673-6112-6940-a5fc-ae4a2ff9bbd3