Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2026-05-31
- Stop
- 2026-05-31
The parties
- Patient
- patient Brendon Marcos Sanford
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
032ec4eb-84a5-3e3f-46fd-32bbdf1265f1