Claim total
$1,453.85
base $93.39 · payer covered $1,017.70
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-09-27
- Stop
- 2017-09-27
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
0291d14d-46f7-a76b-d556-76bf0629a3e0