Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-11-23
- Stop
- 2018-11-23
The parties
- Patient
- patient Evelyne Minda Denesik
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0d9d9f81-b2ab-7b08-107d-320eec48fbfe