Claim total
$1,269.60
base $93.39 · payer covered $1,015.68
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-05-01
- Stop
- 2015-05-02
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-0c08-d1113ec914a6