Claim total
$772.54
base $93.39 · payer covered $618.03
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-01-04
- Stop
- 2018-01-04
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-623e-9f2a626d3c4c