Claim total
$2,216.06
base $93.39 · payer covered $2,166.06
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2017-09-06
- Stop
- 2017-09-06
The parties
- Patient
- patient Harry Will Streich
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0399299d-024a-c139-0c99-a49831a9003a