Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1998-08-31
- Stop
- 1998-08-31
The parties
- Patient
- patient Brendon Walsh
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0d622f4a-33af-83ab-6280-fbf078b7f5b8