Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2007-10-04
- Stop
- 2007-10-04
The parties
- Patient
- patient Chester Max Schaden
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
38643954-fade-a0d0-93e9-25229552cb35