Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1985-06-06
- Stop
- 1985-06-06
The parties
- Patient
- patient Dominga Sipes
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2d091fb5-4e8b-bc96-93c4-8f3a40d1138e