Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2012-12-11
- Stop
- 2012-12-11
The parties
- Patient
- patient Donnie Walton Murazik
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2f90a40b-d771-5e53-1e6a-47d607de5b59