Claim total
$1,463.29
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1993-10-04
- Stop
- 1993-10-04
The parties
- Patient
- patient Candyce Isabel Gutkowski
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
32da48b4-09cc-d935-d8b1-d0327c35d869