Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-02-03
- Stop
- 2023-02-03
The parties
- Patient
- patient Young Warren Jenkins
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0dfada5f-c04f-b372-4e0a-9dc1e97d78b1