Claim total
$536.30
base $125.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 223484005
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2021-07-09
- Stop
- 2021-07-09
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-8a7b-a932b6020d47