Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-11-15
- Stop
- 2024-11-15
The parties
- Patient
- patient Roman Romeo Nolan
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
104dd156-7eab-3c3d-65b1-7ff8e933a307