Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2026-02-02
- Stop
- 2026-02-02
The parties
- Patient
- patient Griselda O'Kon
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
300328e6-1f06-f64e-9407-c655e36aadb7