Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2020-01-13
- Stop
- 2020-01-13
The parties
- Patient
- patient Arlene Maurine Dibbert
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
147bb29a-9ad7-3264-29a5-511ae7a34a8d