Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2018-09-13
- Stop
- 2018-09-13
The parties
- Patient
- patient Gavin Wisoky
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
24ce3151-c7c0-43c5-33f1-732eb6f289d0