Claim total
$1,013.81
base $93.39 · payer covered $624.65
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2022-02-23
- Stop
- 2022-02-23
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-790b-df5b5e49b3a7