Claim total
$703.97
base $93.39 · payer covered $703.97
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-03-17
- Stop
- 2016-03-17
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-f9d1-b7864e30ab43