Claim total
$286.54
base $93.39 · payer covered $229.23
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-11-23
- Stop
- 2017-11-23
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-5888-9fe2f701dd4f