Claim total
$702.36
base $93.39 · payer covered $549.65
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-02-25
- Stop
- 2026-02-25
The parties
- Patient
- patient Trisha Micha Rutherford
- Provider
- provider Wes Jast
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
16cf6330-3914-e380-1365-1d23e216b454