Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1979-12-28
- Stop
- 1979-12-28
The parties
- Patient
- patient Mariann Tennie Dooley
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1b992c53-6e6f-6996-09a8-a8624114fc0e