Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2022-11-07
- Stop
- 2022-11-07
The parties
- Patient
- patient Shanti Violette Leffler
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
18176e60-061d-0ce9-9475-56c901bcd048