Claim total
$274.00
base $93.39 · payer covered $224.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- procedure concept Patient referral for dental care103697008
- Start
- 2017-10-12
- Stop
- 2017-10-12
The parties
- Patient
- patient Santa Antonina Bernier
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
051f1153-ae45-1425-9e55-776aa461e425