Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Concussion with loss of consciousness62564004
- Start
- 2017-08-03
- Stop
- 2017-08-03
The parties
- Patient
- patient Catharine Many Nolan
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
03cbffbc-74a2-befb-6c3a-c16401a679d5