Claim total
$403.56
base $93.39 · payer covered $322.85
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-10-09
- Stop
- 2024-10-09
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
01280686-ae2e-42f0-37d2-3554f28551b0