Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2003-08-17
- Stop
- 2003-08-17
The parties
- Patient
- patient Assunta Ferry
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
3acf70ac-a702-cd75-939f-2b6b8baa7a14