Claim total
$2,601.09
base $93.39 · payer covered $248.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-04-15
- Stop
- 2021-04-15
The parties
- Patient
- patient Agueda Raelene Dibbert
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
2c2a55c2-b04c-0ce4-1d3a-36dc76ce91ea