Claim total
$106.45
base $93.39 · payer covered $56.45
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 1944-09-02
- Stop
- 1944-09-02
The parties
- Patient
- patient Irving Steve Legros
- Provider
- provider Amber Yost
- Payer
- payer Medicaid
Record id
02796652-7893-0df9-3196-0b7675be752c