Claim total
$876.13
base $93.39 · payer covered $700.90
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2016-09-13
- Stop
- 2016-09-13
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-11d2-13d10c08499d