Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-10-06
- Stop
- 2021-10-06
The parties
- Patient
- patient Luana Ilana Effertz
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
086bd61a-213a-915b-91e6-85530088058f