Claim total
$711.28
base $93.39 · payer covered $569.02
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1995-07-22
- Stop
- 1995-07-22
The parties
- Patient
- patient Marshall Ellis Bradtke
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0cefa359-fd5a-c050-d8f3-4baa1253a373