Claim total
$1,195.11
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-09-26
- Stop
- 2023-09-26
The parties
- Patient
- patient Catharine Many Nolan
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
03cbffbc-74a2-befb-58ef-fed783f1f1c4