Claim total
$291.66
base $155.66 · payer covered $46.93
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-02-04
- Stop
- 2021-02-04
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
056f2732-3438-a432-5348-751ea484e660