Claim total
$1,015.58
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2005-03-13
- Stop
- 2005-03-13
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03e70281-0fa0-c7c6-7077-0e55ffeadb9f