Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2012-04-06
- Stop
- 2012-04-06
The parties
- Patient
- patient Earle Fritsch
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
237ceca7-23fb-5ef0-7fd7-ec055ca317fe