Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1996-04-22
- Stop
- 1996-04-22
The parties
- Patient
- patient Tamesha Lecia Wyman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
391bc040-899c-a7be-6304-d4bde776467e