Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-08-16
- Stop
- 2025-08-16
The parties
- Patient
- patient Dale Kelly Heller
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1b3472b4-114e-197d-0723-e2126d0c6c7f