Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1967-11-06
- Stop
- 1967-11-06
The parties
- Patient
- patient Lavinia Kera Bartoletti
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
268d0250-7a61-15d4-e2e2-bb3556fbf02a