Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-03
- Stop
- 2014-02-03
The parties
- Patient
- patient Hung Jamaal Schmitt
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0e1d9890-92e3-08a2-69a8-a2b6ac73a1d0