Claim total
$10,124.19
base $93.39 · payer covered $10,124.19
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-09-09
- Stop
- 2016-09-09
The parties
- Patient
- patient Harriett Diane Bruen
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0d29cff3-fcf0-18ce-e99c-b2cc157563f2