Claim total
$96.26
base $93.39 · payer covered $46.26
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2022-11-18
- Stop
- 2022-11-18
The parties
- Patient
- patient Carmel Candace Corwin
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05f2be84-5448-13b2-5345-b0281e5b3ab2