Claim total
$12,504.80
base $155.66 · payer covered $12,454.80
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-07-04
- Stop
- 2025-07-04
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04658673-6112-6940-1bbd-66b71831f8f8