Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1964-06-21
- Stop
- 1964-06-21
The parties
- Patient
- patient Luisa Adriana Candelaria
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
30a17686-cce3-be65-896d-930bc4255a9b