Claim total
$100.70
base $93.39 · payer covered $80.56
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-10-26
- Stop
- 2024-10-26
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
01280686-ae2e-42f0-2944-e18b607e61f5