Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1979-09-19
- Stop
- 1979-09-20
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-6ea8-4b7f7e7d74f9