Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2025-01-25
- Stop
- 2025-01-25
The parties
- Patient
- patient Marsha Dodie Kuvalis
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
062d51e6-50d3-3fdf-c23b-8305fc301223