Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2026-08-12
- Stop
- 2026-08-12
The parties
- Patient
- patient Ignacio Bashirian
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
194f532e-41f9-76d5-33f5-71ab6e73d488