Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2004-03-19
- Stop
- 2004-03-19
The parties
- Provider
- provider Floyd Toy
- Payer
- payer No insurance
Record id
2b96d0b0-d6ca-498b-6263-049aeeda7768