Claim total
$99.65
base $93.39 · payer covered $49.65
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2016-07-30
- Stop
- 2016-07-30
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
02680c28-26cc-4bca-3a9b-48f594ca01d2