Claim total
$95.27
base $93.39 · payer covered $76.21
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-02-06
- Stop
- 2019-02-06
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-a824-5d3438f53505