Claim total
$249.74
base $93.39 · payer covered $214.74
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-05-08
- Stop
- 2024-05-09
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03ef4f74-940b-d219-b513-ba0e4f6e9f59