Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Lupus erythematosus200936003
- Start
- 2016-09-23
- Stop
- 2016-09-23
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Mao O'Keefe
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-13b1-e7a7eb02fdaf