Claim total
$112.87
base $93.39 · payer covered $90.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1983-09-21
- Stop
- 1983-09-21
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-eec1-414cbe698781