Claim total
$116.63
base $93.39 · payer covered $116.63
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2023-04-29
- Stop
- 2023-04-30
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-b7d4-a9d30f24a00a