Claim total
$504.69
base $93.39 · payer covered $504.69
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-06-16
- Stop
- 2016-06-16
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-6112-e538121f7011