Claim total
$575.77
base $93.39 · payer covered $460.61
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2022-04-30
- Stop
- 2022-04-30
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-99ac-87b0473f950c