Claim total
$566.96
base $155.66 · payer covered $416.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2013-11-19
- Stop
- 2013-11-19
The parties
- Patient
- patient Kaycee Abshire
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
21a481c1-edd4-0821-9feb-d8f08ffe69bf