Claim total
$126.33
base $93.39 · payer covered $101.06
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2023-10-01
- Stop
- 2023-10-01
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-6fd6-fd9e1a66e09d