Claim total
$98.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2024-06-11
- Stop
- 2024-06-11
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Adrienne Hills
- Payer
- payer Humana
Record id
02695016-2813-6239-f020-072ace9c29a2