Claim total
$846.34
base $93.39 · payer covered $677.07
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-06-16
- Stop
- 2021-06-16
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
046c8377-6cc1-c8f9-4ddb-eda29e31d6fb