Claim total
$1,029.05
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2001-12-16
- Stop
- 2001-12-16
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-aa93-dde084214dd8