Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Child attention deficit disorder192127007
- Start
- 2016-04-29
- Stop
- 2016-04-29
The parties
- Patient
- patient Duncan Nolan Schuppe
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
11c30a63-d3ba-081c-c60d-f86807d2f2af