Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2020-10-10
- Stop
- 2020-10-10
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-0d9f-b862a98177c3