Claim total
$1,250.99
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-09-11
- Stop
- 2023-09-11
The parties
- Patient
- patient Lindsay Charlie Hilll
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1ae11b6f-7c0b-81fc-974d-8b35504ec638