Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2008-01-27
- Stop
- 2008-01-27
The parties
- Patient
- patient Josef Earle Cronin
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
26c58ea5-e054-be2d-015e-d6263db88eb2