Claim total
$1,453.85
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-05-31
- Stop
- 2017-05-31
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
0291d14d-46f7-a76b-4b4f-18d6f7473e0a