Claim total
$703.97
base $93.39 · payer covered $563.17
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-09-01
- Stop
- 2016-09-01
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-d1ff-6e796d36a826