Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Major depressive disorder370143000
- Start
- 1969-06-26
- Stop
- 1969-06-26
The parties
- Patient
- patient Maria Jerrell Bechtelar
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0fb9a374-3017-65cf-4ecc-df0b639b1d6e