Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2015-07-13
- Stop
- 2015-07-13
The parties
- Patient
- patient Lindsay Charlie Hilll
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1ae11b6f-7c0b-81fc-0f9c-0822b66a7a39