Claim total
$39,875.50
base $155.66 · payer covered $39,840.50
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-09-13
- Stop
- 2018-09-13
The parties
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
25b691b1-c349-2bb7-43ed-a78a0b5a46a1