Claim total
$978.26
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Fetus with chromosomal abnormality267253006
- Start
- 1995-11-30
- Stop
- 1995-11-30
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0190d3b1-c50c-bf7b-33b9-62827713ca84