Claim total
$268.81
base $93.39 · payer covered $112.82
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2006-04-01
- Stop
- 2006-04-01
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Amber Yost
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-9af5-4073fd630bb6