Claim total
$1,036.18
base $93.39 · payer covered $1,001.18
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-10-16
- Stop
- 2024-10-17
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03ef4f74-940b-d219-e4b4-49c0461369fb