Claim total
$93.49
base $93.39 · payer covered $93.49
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-04-07
- Stop
- 2016-04-07
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-c3c2-5c0798354365