Claim total
$1,345.65
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1977-10-22
- Stop
- 1977-10-22
The parties
- Patient
- patient Errol Delmar Lockman
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
09a2ab02-bbcf-9b47-a30f-c1e549c0a5da