Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1995-09-16
- Stop
- 1995-09-16
The parties
- Patient
- patient Kenia Elida Terry
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
09a3167a-b9be-61ba-9f79-063bbded98af