Claim total
$100.84
base $93.39 · payer covered $80.67
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Gingivitis66383009
- Start
- 2020-10-19
- Stop
- 2020-10-19
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-b79f-dee805c836f9