Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2003-10-16
- Stop
- 2003-10-16
The parties
- Patient
- patient Herminia Evelyn Tillman
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
10e50578-2bab-6f42-a700-8e6db70929fe