Claim total
$602.80
base $93.39 · payer covered $482.24
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2017-01-12
- Stop
- 2017-01-12
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-4d32-6dc99c1f33ef