Claim total
$101.56
base $93.39 · payer covered $51.56
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2019-08-24
- Stop
- 2019-08-24
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
02680c28-26cc-4bca-1ad0-e2ae3467abb8