Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2013-01-31
- Stop
- 2013-02-01
The parties
- Patient
- patient Hilton Randal Auer
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
111cd2b1-c486-f225-dd52-f02ba06a3562