Claim total
$773.39
base $93.39 · payer covered $723.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-04-29
- Stop
- 2021-04-29
The parties
- Patient
- patient Johnnie Rashad Pfeffer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
030fbd6c-bbe4-c142-1f54-28e461c5a505