Claim total
$93.48
base $93.39 · payer covered $74.78
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-03-25
- Stop
- 2021-03-25
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
056f2732-3438-a432-127e-f607ebefff81