Claim total
$269.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-12-08
- Stop
- 2022-12-08
The parties
- Patient
- patient Isiah Dave Hickle
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1d8529de-749e-5c35-a419-456aea6e3fd5