Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2001-01-17
- Stop
- 2001-01-17
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Deeanna Reynolds
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-c092-895a7340cb3f