Claim total
$95.87
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2017-12-11
- Stop
- 2017-12-11
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Amber Yost
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-356b-16c97a41ac40