Claim total
$5,987.33
base $155.66 · payer covered $5,937.33
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2025-08-11
- Stop
- 2025-08-11
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-f3e0-a31cfbc5d3a8