Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2025-05-02
- Stop
- 2025-05-02
The parties
- Patient
- patient Julieann Alvera Botsford
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0f236ebf-715e-330b-1d47-2322b3206513