Claim total
$302.86
base $93.39 · payer covered $242.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-22
- Stop
- 2017-03-22
The parties
- Patient
- patient Annmarie Norine Kling
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1f1c070f-74f1-05e1-5989-92142fb4a1ee