Claim total
$1,453.85
base $93.39 · payer covered $1,163.07
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-11-21
- Stop
- 2018-11-21
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-2d3d-68c40eecdac0