Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 1979-10-06
- Stop
- 1979-10-06
The parties
- Patient
- patient Benito Delao
- Provider
- provider Nathanael O'Conner
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
30bb6e62-6649-f6c6-8215-5aa85c8e7947