Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2024-11-12
- Stop
- 2024-11-12
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-f5fd-0407811d591e