Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture subluxation of wrist263102004
- Start
- 2019-06-19
- Stop
- 2019-06-19
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-63ef-790ddf69cc39