Claim total
$1,063.73
base $93.39 · payer covered $1,063.73
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2017-06-24
- Stop
- 2017-06-24
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-928e-77e94ba56999