Claim total
$334.88
base $93.39 · payer covered $267.90
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-26
- Stop
- 2026-05-26
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-65f8-043d337d47dd