Encounter for check up

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patient Karoline Jacquelyne Ledner
Encounter for check up

Claim total

$93.39

base $93.39 · payer covered $43.39

The visit

Class: Ambulatory
Code: 185349003
Reason: procedure concept Patient referral for dental care103697008
Start: 2025-06-26
Stop: 2025-06-26

The parties

Patient: patient Karoline Jacquelyne Ledner
Provider: provider Hassie Beer
Care site: care site REGENCY HOSPITAL OF MINNEAPOLIS LLC
Payer: payer Medicaid

Record id 04dc5210-87cc-ee45-6d79-60277b40a4f2