Claim total
$311.79
base $93.39 · payer covered $261.79
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2025-02-15
- Stop
- 2025-02-15
The parties
- Patient
- patient Harry Will Streich
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0399299d-024a-c139-5cdb-e82335bcf202