Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2014-06-15
- Stop
- 2014-06-15
The parties
- Patient
- patient Ray Troy Osinski
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1fd2fa7e-032c-24bf-5b3d-1025c5e9d411