Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Major depression, single episode36923009
- Start
- 2011-03-07
- Stop
- 2011-03-07
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
015dd051-d88b-0f3d-4d27-7d8210124fa2