Claim total
$1,196.10
base $93.39 · payer covered $1,146.10
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1992-01-20
- Stop
- 1992-01-20
The parties
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06665696-4a92-d8c7-8aad-8a935896a45f