Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-04-02
- Stop
- 2023-04-02
The parties
- Patient
- patient Harriett Diane Bruen
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0d29cff3-fcf0-18ce-3e73-2855f8e3b6a8