Claim total
$1,148.21
base $93.39 · payer covered $998.21
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1996-07-18
- Stop
- 1996-07-18
The parties
- Patient
- patient Hien Shasta Nikolaus
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1feed5c5-ef44-d1c7-3165-c4e52fa0b38c