Claim total
$157.90
base $93.39 · payer covered $126.32
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2022-05-25
- Stop
- 2022-05-25
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-878e-9128d63da13f