Claim total
$1,075.88
base $93.39 · payer covered $860.69
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-10-15
- Stop
- 2025-10-16
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
03ef4f74-940b-d219-bbe5-cd843e9f582e