Claim total
$75.00
base $75.00 · payer covered $60.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2026-06-07
- Stop
- 2026-06-07
The parties
- Patient
- patient Shanti Violette Leffler
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
18176e60-061d-0ce9-02a5-0521503d39be