Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2018-01-24
- Stop
- 2018-01-24
The parties
- Patient
- patient Cassi Blanche Davis
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1aae8a7a-42af-d31b-8b22-4467097783d0