Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2001-01-03
- Stop
- 2001-01-03
The parties
- Patient
- patient Casey Lino Russel
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
30523c73-61ea-cd3b-7538-f605ae9f5ea0