Claim total
$183.87
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2019-03-23
- Stop
- 2019-03-23
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
03959b6c-660d-eecd-db28-7aadf96dee79