Claim total
$99.52
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2018-05-07
- Stop
- 2018-05-07
The parties
- Patient
- patient Adam Jones
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
00229130-e769-8779-b2ff-f46846d89cf0