Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2013-10-20
- Stop
- 2013-10-20
The parties
- Patient
- patient Felton Zachary Hyatt
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
26abe078-4f7c-6455-7267-18985b58ea42