Claim total
$76.98
base $75.00 · payer covered $26.98
The visit
- Class
- Virtual
- Code
- 185317003
- Reason
- —
- Start
- 2024-01-05
- Stop
- 2024-01-05
The parties
- Patient
- patient Danial Hal Lang
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06067a48-9015-34d7-20d6-d84d6d7e0ccd