Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2025-09-10
- Stop
- 2025-09-10
The parties
- Patient
- patient Laurette Clelia Kohler
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
371c9f05-7f68-f06c-1687-2a40ec0b31d7