Claim total
$6,877.94
base $155.66 · payer covered $1,729.93
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2021-03-11
- Stop
- 2021-03-11
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-7cef-4e0b3868f201