Claim total
$372.89
base $93.39 · payer covered $223.73
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-08-16
- Stop
- 2026-08-16
The parties
- Patient
- patient Dion Burt Yost
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
25494748-602d-a952-94b8-b680a1330600