Claim total
$872.93
base $93.39 · payer covered $872.93
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2019-03-06
- Stop
- 2019-03-07
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-d13e-8f33ca0f5d8e