Claim total
$356.72
base $93.39 · payer covered $285.37
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2017-05-01
- Stop
- 2017-05-01
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Amber Yost
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-a6d6-d51a8c1ebbad