Claim total
$97.82
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2018-06-30
- Stop
- 2018-06-30
The parties
- Patient
- patient Louis Lowe
- Provider
- provider Carmine Carter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0133e229-9af3-5afb-9a45-f0668c97f119