Claim total
$7,224.79
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-01-16
- Stop
- 2017-01-16
The parties
- Patient
- patient Hettie George Anderson
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
30eb8a8c-56e4-d0fc-4565-2a01085b70d4