Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1932-05-23
- Stop
- 1932-05-23
The parties
- Patient
- patient Carolee Lorette Nienow
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
162c02fb-cffd-80fd-8ba5-29fdd87aaa68