Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1963-01-11
- Stop
- 1963-01-11
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03d8f92f-53db-d7af-3479-e9935dab9065