Claim total
$5,306.19
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2021-07-01
- Stop
- 2021-07-03
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-5adf-22f3b1517325