Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-09-09
- Stop
- 2019-09-09
The parties
- Patient
- patient Lynda Laquanda Muller
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3560366b-1272-9526-1c36-b2c38544d767