Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1984-01-19
- Stop
- 1984-01-19
The parties
- Patient
- patient Martín Gustavo Farías
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
296bff62-da20-817b-3d6c-32505e4d27ee