Claim total
$915.99
base $93.39 · payer covered $732.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2020-06-11
- Stop
- 2020-06-11
The parties
- Patient
- patient Adam Jones
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
00229130-e769-8779-ae7d-11e81d6e6b32