Claim total
$1,036.18
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-02-04
- Stop
- 2014-02-04
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-5d4c-99eb8bda6dc1