Claim total
$395.95
base $93.39 · payer covered $345.95
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2020-02-26
- Stop
- 2020-02-26
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-d6d7-2431eeff00eb