Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-05
- Stop
- 2021-04-05
The parties
- Patient
- patient Adam Jones
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
00229130-e769-8779-433d-5cb4ae4797e1