Claim total
$959.75
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2024-02-15
- Stop
- 2024-02-15
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
01280686-ae2e-42f0-588f-c8e8a8481e8f