Claim total
$164.00
base $127.17 · payer covered $164.00
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2017-06-18
- Stop
- 2017-06-19
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-dc97-c9a61e1aeb19