Claim total
$631.25
base $93.39 · payer covered $396.34
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-04-07
- Stop
- 2021-04-07
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-7967-056471767875