Claim total
$203.94
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2018-12-17
- Stop
- 2018-12-17
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Amber Yost
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-ea8f-ed73f18092e2