Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2023-12-13
- Stop
- 2023-12-13
The parties
- Patient
- patient Michal Andrew Champlin
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
01866125-a841-a217-b5cd-9ed141f65976