Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2018-05-28
- Stop
- 2018-05-28
The parties
- Patient
- patient Casey Lino Russel
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
30523c73-61ea-cd3b-bb25-6d75725494f4