Claim total
$267.72
base $93.39 · payer covered $267.72
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2013-06-14
- Stop
- 2013-06-14
The parties
- Patient
- patient Romeo Emerson Bahringer
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
34fa854a-89f0-50dc-e9fe-c9cc14c02828