Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2024-07-22
- Stop
- 2024-07-22
The parties
- Patient
- patient Maximo Keenan Hane
- Provider
- provider Shellie Shanahan
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1cfe24fb-8d11-3471-11ff-36a011f615ab