Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-02-04
- Stop
- 2022-02-04
The parties
- Patient
- patient Joelle Hyon McGlynn
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
162e0456-ce01-bb09-93d2-f28f1d47f4f4