Claim total
$694.53
base $93.39 · payer covered $555.61
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-10-15
- Stop
- 2025-10-15
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-5e7c-b571c6a6c9b7