Claim total
$1,024.24
base $93.39 · payer covered $819.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-02-09
- Stop
- 2015-02-09
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-2626-162d08d1b53b