Claim total
$1,322.82
base $93.39 · payer covered $1,058.24
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-06-28
- Stop
- 2023-06-28
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-cc03-3d0a2a19c05a