Claim total
$566.96
base $155.66 · payer covered $267.17
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2025-06-13
- Stop
- 2025-06-13
The parties
- Patient
- patient Donnie Walton Murazik
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2f90a40b-d771-5e53-0ac9-1de38a79fadf