Claim total
$5,337.19
base $155.66 · payer covered $5,337.19
The visit
- Class
- Ambulatory
- Code
- 308335008
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2024-01-21
- Stop
- 2024-01-21
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0266f4cc-2c2d-37bb-d960-a2cb8b28d960