Claim total
$229.39
base $93.39 · payer covered $179.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2012-01-14
- Stop
- 2012-01-14
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
02680c28-26cc-4bca-6c96-999918f14d51