Claim total
$192.78
base $93.39 · payer covered $154.22
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-04-23
- Stop
- 2018-04-23
The parties
- Patient
- patient Lynda Laquanda Muller
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3560366b-1272-9526-11c4-38107bb5a1a7