Claim total
$624.61
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-07-12
- Stop
- 2026-07-12
The parties
- Patient
- patient Misha Bella Abernathy
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
2358d215-09d5-835a-b4a1-86b1feec76ac