Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1982-03-04
- Stop
- 1982-03-04
The parties
- Patient
- patient Martin Chong Gerhold
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2a9287c4-7bdc-d5bc-9654-294d9b47e7b7