Claim total
$93.64
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2020-05-31
- Stop
- 2020-05-31
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03e70281-0fa0-c7c6-0e6d-b8ffc12dc6c4