Claim total
$2,310.34
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2026-05-29
- Stop
- 2026-05-29
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
031e24ca-9978-b353-6fad-c452173796cc