Claim total
$114.58
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2026-08-19
- Stop
- 2026-08-19
The parties
- Patient
- patient Ramiro Ramón Uribe
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
0479f26d-83ad-2793-0dbe-723115ab650e