Claim total
$342.96
base $93.39 · payer covered $292.96
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 1989-03-10
- Stop
- 1989-03-10
The parties
- Patient
- patient Danial Hal Lang
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06067a48-9015-34d7-4e4b-b1c85c6dce83