Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of clavicle58150001
- Start
- 2019-07-26
- Stop
- 2019-07-26
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-e19a-a3f70d065d2d