Claim total
$1,188.58
base $93.39 · payer covered $1,188.58
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2017-06-30
- Stop
- 2017-06-30
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-fcc3-d5349f6e3e8d