Claim total
$362.22
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2020-06-23
- Stop
- 2020-06-23
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-a298-3875-6ff62a15cb24