Claim total
$2,623.46
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2025-02-16
- Stop
- 2025-02-16
The parties
- Patient
- patient Queenie Van Keebler
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
046b1f1e-c36f-c080-a408-cc06c56bbeb0