Claim total
$93.39
base $93.39 · payer covered $67.14
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1966-11-27
- Stop
- 1966-11-27
The parties
- Patient
- patient Marshall Ellis Bradtke
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0cefa359-fd5a-c050-9067-90e6101c61b1