Claim total
$99.26
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2023-05-04
- Stop
- 2023-05-04
The parties
- Patient
- patient Angelo Muller
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
036bf274-5bd6-d003-3071-5bf8464dae5b