Claim total
$114.80
base $93.39 · payer covered $79.80
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-09-04
- Stop
- 2021-09-04
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
02680c28-26cc-4bca-8734-a2ea5f2c8fe2