Claim total
$93.67
base $93.39 · payer covered $74.93
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-03-02
- Stop
- 2017-03-02
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
056f2732-3438-a432-2aca-56b93fea60ca