Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-02-15
- Stop
- 2025-02-15
The parties
- Patient
- patient August Israel Daugherty
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
0c069c15-b3e5-c713-e9b4-33910b46012d