Claim total
$972.90
base $93.39 · payer covered $778.31
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-02-27
- Stop
- 2014-02-27
The parties
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-ff04-85f65b29e84f