Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Partial thickness burn403191005
- Start
- 2020-12-23
- Stop
- 2020-12-23
The parties
- Provider
- provider Marcus Douglas
- Payer
- payer Dual Eligible
Record id
014b9cfb-a71a-d032-c034-95a3a465178b