Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-04-01
- Stop
- 2021-04-01
The parties
- Patient
- patient Jackie Stevie Bruen
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
18105727-75f2-3289-30cd-aca9b168a43b