Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1971-02-07
- Stop
- 1971-02-07
The parties
- Patient
- patient Jordan Darrel Hodkiewicz
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
26a1fd64-1e1f-4fc3-ae61-5dcf32ed1c3b