Claim total
$219.95
base $93.39 · payer covered $184.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2017-04-21
- Stop
- 2017-04-21
The parties
- Patient
- patient Wilfred Dylan Stracke
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
12af9e1b-7bdb-0614-e09b-acd6e1e63fcb