Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1993-06-08
- Stop
- 1993-06-08
The parties
- Patient
- patient Santiago Guzmán
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
208dbdf9-fd6d-9022-157f-d44859fe9bbc