Claim total
$217.34
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-02-26
- Stop
- 2023-02-26
The parties
- Patient
- patient Melvina Purdy
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1fa1bef1-d97c-21de-c931-0b496cffbd09