Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1965-10-05
- Stop
- 1965-10-05
The parties
- Patient
- patient Gordon Hoyt Mraz
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1bfe9dff-1e82-5076-8389-c7068df215fe