Claim total
$746.64
base $93.39 · payer covered $597.31
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-05-11
- Stop
- 2015-05-11
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-1afd-87e4e92c8389