Claim total
$75.00
base $75.00 · payer covered $75.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2021-07-14
- Stop
- 2021-07-14
The parties
- Patient
- patient Mariann Tennie Dooley
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1b992c53-6e6f-6996-c458-c83bceaebd18