Claim total
$3,223.62
base $93.39 · payer covered $62.14
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-10-29
- Stop
- 2022-10-29
The parties
- Patient
- patient Allen Turner
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0dddf97a-d797-8ae8-c195-0e1a956c51c0