Claim total
$582.28
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2026-06-23
- Stop
- 2026-06-23
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Humana
Record id
02695016-2813-6239-1758-0254982d3bc7