Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2016-09-30
- Stop
- 2016-10-01
The parties
- Patient
- patient Rodolfo Cesar Cartwright
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
1c95d9b2-6189-e9d5-d1c1-b98e67660e4f