Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1991-09-26
- Stop
- 1991-09-26
The parties
- Patient
- patient Frank Rubin Gusikowski
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1fa1da3d-87d7-ecad-7ccf-e2a30ecd49e5