Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2024-07-23
- Stop
- 2024-07-23
The parties
- Patient
- patient Phebe Cristal Wilderman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0db3a8c6-6446-e032-642a-acb18a410c39