Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1995-08-13
- Stop
- 1995-08-13
The parties
- Patient
- patient Ruby Hills
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
389e2ea0-3c1b-1238-a7e8-ff092a84c6de