Claim total
$93.91
base $93.39 · payer covered $75.13
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2012-12-19
- Stop
- 2012-12-19
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
03d8f92f-53db-d7af-2a2f-d5c90b1b5026