Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2022-01-29
- Stop
- 2022-01-29
The parties
- Patient
- patient Guillermo Elden Kovacek
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
30c16d5b-cbcb-2eac-5a3c-ae8ceec87913