Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2020-02-21
- Stop
- 2020-02-21
The parties
- Patient
- patient Kory Davis
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
27dbccbd-09c2-ffea-37c8-58bb3ad93408