Claim total
$1,103.49
base $93.39 · payer covered $882.78
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-11-20
- Stop
- 2024-11-20
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-9775-b27146a3ef44