Claim total
$3,354.30
base $93.39 · payer covered $3,304.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2022-04-19
- Stop
- 2022-04-19
The parties
- Patient
- patient Johnnie Rashad Pfeffer
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
030fbd6c-bbe4-c142-cc9f-0a8992636fcc