Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-02-16
- Stop
- 2021-02-16
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-1c8b-d3f8f66e40db