Claim total
$182.34
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 1979-10-19
- Stop
- 1979-10-19
The parties
- Patient
- patient Queenie Van Keebler
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
046b1f1e-c36f-c080-2b5e-bab6d7c39140