Claim total
$161.92
base $93.39 · payer covered $129.53
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2019-05-13
- Stop
- 2019-05-13
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Amber Yost
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-60c2-fb5802a8cdf2