Claim total
$212.07
base $93.39 · payer covered $10.08
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2026-01-01
- Stop
- 2026-01-01
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-4eb8-7014716efd48