Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2021-10-29
- Stop
- 2021-10-29
The parties
- Patient
- patient Earle Fritsch
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
237ceca7-23fb-5ef0-9564-176508559cca