Claim total
$155.66
base $155.66 · payer covered $155.66
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2023-08-29
- Stop
- 2023-08-29
The parties
- Patient
- patient Mariann Tennie Dooley
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1b992c53-6e6f-6996-2c51-a79849d3bfcf