Claim total
$300.70
base $93.39 · payer covered $250.70
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2020-08-24
- Stop
- 2020-08-24
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-d679-b4b8be8b27a0