Claim total
$93.84
base $93.39 · payer covered $58.84
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-01-09
- Stop
- 2023-01-09
The parties
- Patient
- patient Brendon Marcos Sanford
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
032ec4eb-84a5-3e3f-239e-0fe9f0b04faf