Claim total
$93.67
base $93.39 · payer covered $74.93
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-12-24
- Stop
- 2025-12-25
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-d1b1-667d979a5358