Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Child attention deficit disorder192127007
- Start
- 2020-03-06
- Stop
- 2020-03-06
The parties
- Patient
- patient Earle Fritsch
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
237ceca7-23fb-5ef0-beff-9c247e4e8c8e