Claim total
$185.18
base $93.39 · payer covered $65.86
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-04-23
- Stop
- 2023-04-23
The parties
- Patient
- patient Jan Cliff Johnson
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
085b5e58-fc26-ce3b-f8a2-7e5bf13e3e4a