Claim total
$346.17
base $93.39 · payer covered $296.17
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2021-02-20
- Stop
- 2021-02-20
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-db8d-c239d1b1a05f