Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2017-12-21
- Stop
- 2017-12-21
The parties
- Patient
- patient Mason Jeffry Vandervort
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
1a73a6e9-3ff1-67cc-a98b-4d197a22f068