Claim total
$533.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2023-07-19
- Stop
- 2023-07-19
The parties
- Patient
- patient Tim Taylor Terry
- Provider
- provider Antonietta Purdy
- Payer
- payer Humana
Record id
03607fcd-7c51-41c0-3ddb-8cbd7eab3386