Claim total
$5,407.84
base $155.66 · payer covered $5,357.84
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2018-05-21
- Stop
- 2018-05-21
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
046c8377-6cc1-c8f9-a4db-1b1187b95eb5