Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-04
- Stop
- 2014-04-04
The parties
- Patient
- patient Valentine Terrence Runte
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
2a4d3a66-271c-bb09-ef8e-e13e6351ff8a