Claim total
$978.26
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Fetus with chromosomal abnormality267253006
- Start
- 2006-01-24
- Stop
- 2006-01-24
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03e70281-0fa0-c7c6-7ffc-fb384fd5267b