Claim total
$107.30
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2016-12-05
- Stop
- 2016-12-05
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Amber Yost
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-5c10-294c20259629