Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2011-05-16
- Stop
- 2011-05-16
The parties
- Patient
- patient Zane Morris Weber
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1d0c6a63-ed7f-70e0-5e7d-854e02d71ebf