Claim total
$101.29
base $93.39 · payer covered $81.03
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-10-31
- Stop
- 2018-10-31
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-fc96-aecd091b0724