Claim total
$106.21
base $93.39 · payer covered $74.34
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2019-01-19
- Stop
- 2019-01-19
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
01280686-ae2e-42f0-3d0e-d47022c7d6f6