Claim total
$198.15
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2021-07-03
- Stop
- 2021-07-03
The parties
- Patient
- patient Louis Lowe
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0133e229-9af3-5afb-aa60-22df6d51b734