Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 2019-02-05
- Stop
- 2019-02-05
The parties
- Patient
- patient Masako Osinski
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
171762a7-a156-b835-c0a9-2ec0ff8e47c0