Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Concussion with loss of consciousness62564004
- Start
- 2026-06-04
- Stop
- 2026-06-04
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-c1e3-30c8be105e2b