Claim total
$237.85
base $93.39 · payer covered $202.85
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-05-17
- Stop
- 2025-05-17
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-27ad-40e2d47aa1c7