Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-25
- Stop
- 2014-03-25
The parties
- Patient
- patient Blake Carol Macejkovic
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1c6a1b68-54fa-90b5-36c9-9cd773543682