Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 1971-09-05
- Stop
- 1971-09-05
The parties
- Patient
- patient Kathy Adelaide Pollich
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
35bae7db-0bec-c432-51b9-36e37d1616df