Claim total
$103.44
base $93.39 · payer covered $53.44
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 1968-08-22
- Stop
- 1968-08-22
The parties
- Patient
- patient Santa Antonina Bernier
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
051f1153-ae45-1425-6b00-a0aad0c72208