Claim total
$93.48
base $93.39 · payer covered $43.48
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 1997-03-09
- Stop
- 1997-03-09
The parties
- Patient
- patient Terrance Raymon Kuhic
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
03e733d5-721a-3740-88df-a661a2658700