Claim total
$75.00
base $75.00 · payer covered $40.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2021-06-17
- Stop
- 2021-06-17
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Floyd Toy
- Payer
- payer Dual Eligible
Record id
062e401f-723c-d87d-61e5-a0148b3e125c