Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2022-11-22
- Stop
- 2022-11-22
The parties
- Patient
- patient Nelda Ebony Jerde
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1746240e-c6cd-a5fb-1007-8744ff2e3cf6