Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-02-04
- Stop
- 2023-02-04
The parties
- Patient
- patient Seymour Lyle Kuhlman
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
000cb105-0f6a-e089-26ed-581b39844066