Claim total
$75.35
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 185317003
- Reason
- —
- Start
- 2015-03-18
- Stop
- 2015-03-18
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-f6fe-de9458c4e676