Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- 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-ef01-cf1b7026a7af