Claim total
$229.68
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2022-08-02
- Stop
- 2022-08-02
The parties
- Patient
- patient Leigh Weston Lubowitz
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Cigna Health
Record id
0031d341-6ceb-7483-3fea-b652e5806f50