Claim total
$196.15
base $93.39 · payer covered $156.92
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2013-01-09
- Stop
- 2013-01-09
The parties
- Patient
- patient Jordan Darrel Hodkiewicz
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
26a1fd64-1e1f-4fc3-6376-7a4b452be9ec