Claim total
$1,378.62
base $93.39 · payer covered $1,328.62
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2025-08-09
- Stop
- 2025-08-09
The parties
- Patient
- patient Angele Khalilah Kuphal
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
044947be-396f-8eb7-4240-a7f573b48804