Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2024-07-19
- Stop
- 2024-07-19
The parties
- Patient
- patient Seymour Lyle Kuhlman
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
000cb105-0f6a-e089-bc67-e274681552da