Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2017-09-13
- Stop
- 2017-09-13
The parties
- Patient
- patient Catharine Many Nolan
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
03cbffbc-74a2-befb-7013-7f9766570964