Claim total
$301.81
base $93.39 · payer covered $241.45
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2025-10-08
- Stop
- 2025-10-08
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Amber Yost
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-a047-c403ece0d2a5