Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2017-08-06
- Stop
- 2017-08-06
The parties
- Patient
- patient Terrell Allan Walter
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0c1ee120-1dc7-6b68-3903-eda4df5686b5