Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2008-08-11
- Stop
- 2008-08-11
The parties
- Patient
- patient Aurelia Maude Goldner
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1ce15169-0046-e0e5-b626-607abeb14b02