Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1994-12-02
- Stop
- 1994-12-02
The parties
- Patient
- patient Augustus Rich Stark
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0239a00d-0894-874c-7d71-03400f0523b0