Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 2020-05-04
- Stop
- 2020-05-04
The parties
- Patient
- patient Mary Teodoro Rutherford
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
250f5ef4-c14c-ed2f-8e9b-3d27873db5e8