Claim total
$2,601.09
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2015-11-09
- Stop
- 2015-11-09
The parties
- Patient
- patient Emile Christoper Veum
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
33b0f71a-9afa-6bb8-4aaf-aca9969ab37b