Claim total
$200.75
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2022-02-05
- Stop
- 2022-02-05
The parties
- Patient
- patient Seymour Lyle Kuhlman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
000cb105-0f6a-e089-fee8-c91275c3160a