Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1995-03-01
- Stop
- 1995-03-01
The parties
- Patient
- patient Valentine Terrence Runte
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2a4d3a66-271c-bb09-94a4-fafa20ba05fc