Claim total
$631.25
base $93.39 · payer covered $504.99
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-12-25
- Stop
- 2014-12-25
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-8110-460ad051bf6a