Claim total
$1,576.50
base $93.39 · payer covered $1,576.50
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-06-01
- Stop
- 2015-06-02
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-e7b9-bccc5225b32f