Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2025-02-12
- Stop
- 2025-02-12
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-ca93-1af8319a4320