Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2025-10-30
- Stop
- 2025-10-30
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
062e401f-723c-d87d-2a28-5884159545e6