Claim total
$1,268.90
base $93.39 · payer covered $1,015.12
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2016-12-28
- Stop
- 2016-12-29
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-b58c-bcc9389ebd8a