Claim total
$94.39
base $93.39 · payer covered $94.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-06-28
- Stop
- 2018-06-28
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-151d-6127f271934f