Claim total
$631.25
base $93.39 · payer covered $320.16
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-08-25
- Stop
- 2021-08-25
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-d297-ac3a77eff5ba