Claim total
$978.26
base $155.66 · payer covered $782.61
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 1999-09-17
- Stop
- 1999-09-17
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-3623-25b23b53aa3e