Claim total
$1,136.33
base $93.39 · payer covered $1,086.33
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 1999-08-31
- Stop
- 1999-08-31
The parties
- Patient
- patient Catharine Many Nolan
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03cbffbc-74a2-befb-9de0-bcf65d378735