Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2005-09-03
- Stop
- 2005-09-03
The parties
- Patient
- patient Dominic Christian Metz
- Provider
- provider Dusty Barrows
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
14ebfd5c-f9ec-ad2c-2e4d-65f9fdfa735f