Claim total
$336.80
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2009-02-05
- Stop
- 2009-02-05
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Hassie Beer
- Payer
- payer Anthem
Record id
023818a4-3852-fbab-88eb-8bfed477f7b5