Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2015-06-20
- Stop
- 2015-06-20
The parties
- Patient
- patient Ayako Cherilyn Wilkinson
- Provider
- provider Alden Nienow
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
3371c9f1-347c-2b4e-b238-70a0b91f4810