Claim total
$291.66
base $155.66 · payer covered $241.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-07-30
- Stop
- 2021-07-30
The parties
- Patient
- patient Carmel Candace Corwin
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05f2be84-5448-13b2-67ec-de8f95ab9c71