Claim total
$93.62
base $93.39 · payer covered $74.89
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-01-05
- Stop
- 2017-01-05
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-5b91-3a590a13d95b