Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-02-08
- Stop
- 2021-02-08
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-bb27-8945b128290b