Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-06-04
- Stop
- 2021-06-04
The parties
- Patient
- patient Gilma Ivy Sporer
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
342f92f5-8a6e-b6a8-d6b4-6819b82558af