Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2011-07-28
- Stop
- 2011-07-28
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Denver Glover
- Payer
- payer Anthem
Record id
00162663-d9d1-4955-353e-901b7ce26097