Claim total
$1,250.99
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-12-25
- Stop
- 2019-12-25
The parties
- Patient
- patient Harriett Diane Bruen
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0d29cff3-fcf0-18ce-f4b8-15326b80f510