Claim total
$94.97
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2016-12-06
- Stop
- 2016-12-06
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-2431-ea54c18209e0