Claim total
$694.53
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-08-14
- Stop
- 2018-08-15
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-0060-f29fdc6b1eff