Claim total
$93.62
base $93.39 · payer covered $43.62
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2022-11-09
- Stop
- 2022-11-10
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-0399-c0d657d4b5a1