Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-06-30
- Stop
- 2014-06-30
The parties
- Patient
- patient Raymundo Bradley Monahan
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2387da0b-9a14-9a7e-1b8b-1e85ce71b583