Claim total
$96.52
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2024-02-09
- Stop
- 2024-02-09
The parties
- Patient
- patient Winfred Otha Quitzon
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
038b62bd-a0b5-4b7e-4640-ad21f8254058