Claim total
$711.28
base $93.39 · payer covered $711.28
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-05-17
- Stop
- 2021-05-17
The parties
- Patient
- patient Leif Darren West
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
04bc601b-5b17-3710-2998-4bbbd9e63102