Claim total
$145.84
base $93.39 · payer covered $116.67
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2020-04-06
- Stop
- 2020-04-06
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Amber Yost
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-1b3e-3e01375e1c99