Claim total
$211.81
base $93.39 · payer covered $127.08
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2013-04-03
- Stop
- 2013-04-03
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0190d3b1-c50c-bf7b-398b-f0650f6aa1ed