Claim total
$439.42
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2021-06-30
- Stop
- 2021-06-30
The parties
- Patient
- patient Miles Auer
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
02b37b89-9593-6a10-3912-da1e7df7d707