Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 2025-05-04
- Stop
- 2025-05-04
The parties
- Patient
- patient Marsha Dodie Kuvalis
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
062d51e6-50d3-3fdf-7b93-445693d1b29b