Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2019-08-25
- Stop
- 2019-08-25
The parties
- Patient
- patient Arlene Maurine Dibbert
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
147bb29a-9ad7-3264-0a3b-97ad6143952c