Claim total
$566.96
base $155.66 · payer covered $416.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2013-04-27
- Stop
- 2013-04-27
The parties
- Patient
- patient Casey Lino Russel
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
30523c73-61ea-cd3b-3026-3ae8073e8dea