Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Adolescent idiopathic scoliosis203646004
- Start
- 1987-12-28
- Stop
- 1987-12-28
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0190d3b1-c50c-bf7b-79e3-d917fc8ae956