Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-01-31
- Stop
- 2014-01-31
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
0291d14d-46f7-a76b-f07b-293ed5a0d64f