Claim total
$307.68
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-03-09
- Stop
- 2020-03-09
The parties
- Patient
- patient Kirk Merle Hickle
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
131edf5b-4fb3-6f88-0ffb-58523123fa58