Claim total
$93.62
base $93.39 · payer covered $74.89
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-03-22
- Stop
- 2023-03-22
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-e1c3-fe53d50a2281