Claim total
$93.39
base $93.39 · payer covered $20.56
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1979-09-28
- Stop
- 1979-09-28
The parties
- Patient
- patient Dusti Carmen Cremin
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0fb29067-0b92-84ae-bccb-cb8cc6d9eb42