Claim total
$93.53
base $93.39 · payer covered $43.53
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1998-06-02
- Stop
- 1998-06-02
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0126321a-a5af-784d-c9f5-543b536d7805