Claim total
$566.96
base $155.66 · payer covered $267.17
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2024-06-02
- Stop
- 2024-06-02
The parties
- Patient
- patient Jo Stark
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1d1bc9fc-5beb-0b04-2a1a-012e1e1442d8