Claim total
$1,327.29
base $93.39 · payer covered $1,327.29
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-05-19
- Stop
- 2016-05-19
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-7dc9-f8803a1c59de