Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2015-12-30
- Stop
- 2015-12-30
The parties
- Patient
- patient Sue Clorinda Gleichner
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1569b433-cb14-321e-db8f-0f7a4b47262c