Claim total
$1,411.59
base $93.39 · payer covered $1,129.27
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-01-21
- Stop
- 2015-01-21
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-be02-c0f739427140