Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2003-08-03
- Stop
- 2003-08-03
The parties
- Patient
- patient Arthur Virgilio Friesen
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
14033b02-afc1-a19c-90b8-423cff14a244