Claim total
$238.11
base $93.39 · payer covered $188.11
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-03-31
- Stop
- 2022-03-31
The parties
- Patient
- patient Lee Scot Rosenbaum
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
027e2621-860b-6019-25ea-61d750720a9d