Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1973-10-02
- Stop
- 1973-10-02
The parties
- Patient
- patient Garry Kenton Vandervort
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
105a5425-4355-e889-4299-cd632199bef2