Claim total
$2,193.76
base $93.39 · payer covered $1,755.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-03-20
- Stop
- 2023-03-20
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-8976-e69da932507a