Claim total
$93.39
base $93.39 · payer covered $23.53
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Seasonal allergic rhinitis367498001
- Start
- 1974-10-22
- Stop
- 1974-10-22
The parties
- Patient
- patient Wilson Teodoro Kihn
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04540647-5ff4-de4a-0217-38b6e31986ea