Claim total
$237.51
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2000-06-10
- Stop
- 2000-06-10
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
01bbe7d1-151b-3eec-e8ed-c3ebfbd57f73