Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-23
- Stop
- 2016-10-23
The parties
- Patient
- patient Tanner Ahmed Russel
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
2b1ce9d0-42e4-3ef5-f654-e7e7f19a8562