Claim total
$144.63
base $93.39 · payer covered $109.63
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1993-05-04
- Stop
- 1993-05-04
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
0126321a-a5af-784d-a57e-5bf6997d2ea2