Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-12-06
- Stop
- 2024-12-06
The parties
- Patient
- patient Dale Kelly Heller
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1b3472b4-114e-197d-33c8-adbf3ce98815