Claim total
$211.07
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-04-22
- Stop
- 2021-04-22
The parties
- Patient
- patient Lissa Heidy Hermiston
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
20c2a5bb-d2d0-ead6-589d-3c9005850abb