Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1962-09-10
- Stop
- 1962-09-10
The parties
- Patient
- patient Quentin Cruickshank
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
06a762e8-e6a0-f3da-1634-ccd077609f96