Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-02-14
- Stop
- 2017-02-14
The parties
- Patient
- patient Fausto Jermaine Rice
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
22582bf2-69a5-1fcf-65f4-62a0f3cb1645