Claim total
$6,840.05
base $93.39 · payer covered $5,472.04
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1994-01-15
- Stop
- 1994-01-15
The parties
- Patient
- patient Marcus Hickle
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
30e9a2c3-3140-d929-31f5-37d1f81d4123