Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2012-09-18
- Stop
- 2012-09-18
The parties
- Patient
- patient Marshall Ellis Bradtke
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0cefa359-fd5a-c050-4b01-2d5bfa0b1e4c