Claim total
$562.22
base $93.39 · payer covered $527.22
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-09-23
- Stop
- 2018-09-23
The parties
- Patient
- patient Josef Earle Cronin
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
26c58ea5-e054-be2d-dd59-87c9ed37c309