Claim total
$4,429.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-03-08
- Stop
- 2024-03-08
The parties
- Patient
- patient Berry Cody Steuber
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2bbd0974-5a0c-5ea0-01f1-195e8ee3cfc2