Claim total
$339.41
base $93.39 · payer covered $189.41
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-12-21
- Stop
- 2023-12-21
The parties
- Patient
- patient Johnnie Rashad Pfeffer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
030fbd6c-bbe4-c142-8c6b-e5b787855108