Claim total
$501.65
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2018-10-04
- Stop
- 2018-10-04
The parties
- Patient
- patient Latesha Heaney
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
02ab4e74-e091-f51b-91d5-f2d433426fce