Claim total
$207.60
base $93.39 · payer covered $166.08
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-30
- Stop
- 2022-04-30
The parties
- Patient
- patient Annmarie Norine Kling
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1f1c070f-74f1-05e1-d47e-91da714a81d5