Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2010-12-18
- Stop
- 2010-12-18
The parties
- Patient
- patient Yong Zulauf
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
27181dd6-98fe-9cef-440e-7a1d53e5b4ac