Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1992-08-27
- Stop
- 1992-08-27
The parties
- Patient
- patient Shannon Errol Bernier
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0a37238f-10d8-cf47-2cd2-2c2c1ce2b2e6