Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1994-12-18
- Stop
- 1994-12-19
The parties
- Patient
- patient Augustus Rich Stark
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0239a00d-0894-874c-b892-65fde6991aae