Claim total
$9,309.25
base $93.39 · payer covered $9,274.25
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-05-24
- Stop
- 2025-05-24
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-429c-3739c858cc35