Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2018-09-18
- Stop
- 2018-09-18
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-98c4-24b9b54a885e