Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2012-09-08
- Stop
- 2012-09-08
The parties
- Patient
- patient Ronnie Cristopher Kuphal
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
33a05bd5-edb9-cc9d-503f-7349dc2f9ca0