Claim total
$487.66
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2011-03-20
- Stop
- 2011-03-21
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Merlin Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-1bfc-6733f37ecd54