Claim total
$10,255.44
base $76.30 · payer covered $10,220.44
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary malignant neoplasm of colon93761005
- Start
- 2019-05-08
- Stop
- 2019-05-10
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
2b999228-9ebb-3076-c5d2-5f0cb0456a12