Claim total
$502.94
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-04-14
- Stop
- 2020-04-14
The parties
- Patient
- patient Raquel Jacque Hammes
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
27cca774-3306-e72e-c598-fda2501fd1aa