Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2024-01-11
- Stop
- 2024-01-11
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-ea59-b4be249a3a2b