Claim total
$3,383.79
base $93.39 · payer covered $2,707.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2021-09-17
- Stop
- 2021-09-17
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
056f2732-3438-a432-dea7-a2bf85cc4e88