Claim total
$3,740.76
base $93.39 · payer covered $2,992.61
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-12-28
- Stop
- 2016-12-28
The parties
- Patient
- patient Martín Gustavo Farías
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
296bff62-da20-817b-fe4a-68d3f384e8f1