Claim total
$123.80
base $93.39 · payer covered $73.80
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2022-02-12
- Stop
- 2022-02-12
The parties
- Patient
- patient Harry Will Streich
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0399299d-024a-c139-3a21-26ec9d55a4c9