Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1989-05-20
- Stop
- 1989-05-20
The parties
- Patient
- patient Michael Forrest Rempel
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2fae7a06-e7f5-19fb-5698-376c69ee6be6