Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1982-01-17
- Stop
- 1982-01-17
The parties
- Patient
- patient Ty Kenny Quitzon
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
32587289-9da4-0bd5-c02c-e123285535d8