Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2024-01-01
- Stop
- 2024-01-01
The parties
- Patient
- patient Chester Tremblay
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0e02dbe1-8232-36de-5e2f-7552a6385891