Claim total
$7,046.71
base $93.39 · payer covered $774.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-08-09
- Stop
- 2021-08-09
The parties
- Patient
- patient Alberto Hernán Aguilera
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2f1a8d15-f4a4-bfdc-4e4f-1061b3279621