Claim total
$1,203.43
base $93.39 · payer covered $962.74
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2018-12-21
- Stop
- 2018-12-21
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-ed40-617750937668