Claim total
$3,034.76
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- diagnosis concept Diabetes mellitus type 244054006
- Start
- 2023-04-28
- Stop
- 2023-04-28
The parties
- Patient
- patient Queenie Van Keebler
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
046b1f1e-c36f-c080-4c30-249b2f905b86