Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1990-05-05
- Stop
- 1990-05-05
The parties
- Patient
- patient Gregory Phil Corkery
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0dcdba08-cdbe-f021-93ef-6c6710b36fb1