Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-10-31
- Stop
- 2023-10-31
The parties
- Patient
- patient Donny Heath Legros
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1a48f36b-a75c-ca40-b6c0-5c20a9f7b2db