Claim total
$467.85
base $93.39 · payer covered $374.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-01-12
- Stop
- 2023-01-12
The parties
- Patient
- patient Simon Frederic Gulgowski
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
034c4f48-8c73-4f35-262f-9fd536fe6821