Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-10-24
- Stop
- 2024-10-24
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
04658673-6112-6940-762e-b94e3b07fde2