Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Seasonal allergic rhinitis367498001
- Start
- 2003-12-08
- Stop
- 2003-12-08
The parties
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03d1ce86-efe3-018d-9172-850ad5d5e6a7