Claim total
$1,532.60
base $93.39 · payer covered $1,226.08
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2019-01-23
- Stop
- 2019-01-23
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-6d63-c0481122300b