Claim total
$96.72
base $75.00 · payer covered $96.72
The visit
- Class
- Virtual
- Code
- 185317003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2016-11-23
- Stop
- 2016-11-23
The parties
- Patient
- patient Christel Torp
- Provider
- provider Heriberto Smitham
Record id
00edd987-99b7-13d9-6471-36e0aed448c1