Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2018-01-23
- Stop
- 2018-01-23
The parties
- Patient
- patient Natacha Chi Blick
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
3482eb70-2081-c8cb-857f-e60429dc6b39