Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1956-07-03
- Stop
- 1956-07-03
The parties
- Patient
- patient Emelda Buckridge
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0d3f842e-991a-78cb-7744-32fcd33e0fa8