Claim total
$1,017.84
base $93.39 · payer covered $814.27
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-05-14
- Stop
- 2015-05-14
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-3c42-b26f2cb2b9a3