Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1992-09-12
- Stop
- 1992-09-12
The parties
- Patient
- patient Evelyne Minda Denesik
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0d9d9f81-b2ab-7b08-7aa8-709b5daf77fa