Claim total
$128.26
base $127.17 · payer covered $128.26
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2015-10-18
- Stop
- 2015-10-19
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Merlin Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-9c80-f353a2b6bdb5