Claim total
$6,476.13
base $93.39 · payer covered $1,607.81
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-12-27
- Stop
- 2018-12-27
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
01280686-ae2e-42f0-b8db-f7cf9be3599f