Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1970-11-21
- Stop
- 1970-11-21
The parties
- Patient
- patient Viki Nicki Pfannerstill
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
378f5f5f-1bcf-284d-47cf-e6a0a9dbf3f3