Claim total
$631.25
base $93.39 · payer covered $504.99
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-03-16
- Stop
- 2015-03-16
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-c74a-98d3863354b7