Claim total
$15,068.25
base $155.66 · payer covered $15,068.25
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2025-12-11
- Stop
- 2025-12-11
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-87e1-c9889bd8f160