Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2001-05-17
- Stop
- 2001-05-17
The parties
- Patient
- patient Franklin Raynor
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
30e2fac0-3fd8-7b71-704b-fb2eac7cefda