Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 2015-11-24
- Stop
- 2015-11-25
The parties
- Patient
- patient Kristian Cristina Carter
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
375cd3f7-adf8-2f91-db96-9f3e2347c846