Claim total
$100.20
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2020-03-24
- Stop
- 2020-03-24
The parties
- Patient
- patient Iona Emmerich
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
03622442-8577-b4cb-4dd0-ab19fc53d8d6