Claim total
$256.74
base $93.39 · payer covered $206.74
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2018-08-18
- Stop
- 2018-08-18
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-83b8-e991563e0ea4