Claim total
$9,402.82
base $93.39 · payer covered $7,522.25
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-03-08
- Stop
- 2016-03-08
The parties
- Patient
- patient Brad Yong Reichel
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
131a22f5-2cf1-9507-851a-8eb75588d1a6