Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-03
- Stop
- 2017-03-03
The parties
- Patient
- patient Jacquelin Leffler
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1238e43a-68f7-e8e8-50ac-75bf5bcd6a8d