Claim total
$96.93
base $93.39 · payer covered $77.54
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-01-02
- Stop
- 2019-01-02
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-0816-eba71e21a7f3