Claim total
$3,685.18
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-07-04
- Stop
- 2022-07-04
The parties
- Patient
- patient Robert Hoyt Morar
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
3427aba4-aec0-c793-8cf2-c7f3c325a298