Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 1965-10-29
- Stop
- 1965-10-29
The parties
- Patient
- patient Ines Shiloh Jacobi
- Provider
- provider Shellie Shanahan
- Care site
- care site ALTRU HEALTH SYSTEM
Record id
25075e04-8a2f-41db-2a7a-6f4981f264e3