Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2024-09-28
- Stop
- 2024-09-28
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
03e70281-0fa0-c7c6-e60b-aea769e32285