Claim total
$978.26
base $155.66 · payer covered $684.78
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 2004-07-03
- Stop
- 2004-07-03
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-9173-0f577057f0eb