Claim total
$194.98
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2023-07-01
- Stop
- 2023-07-01
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
01280686-ae2e-42f0-9e21-17d55a8f014e