Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1968-12-09
- Stop
- 1968-12-09
The parties
- Patient
- patient Lynda Carissa Wiza
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
11b58047-9562-e585-1193-7ad6de8ef3a4