Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1995-06-15
- Stop
- 1995-06-15
The parties
- Patient
- patient Audrey Lenore Bednar
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
184d84b2-d496-273f-133f-a8a62744cc94