Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2016-05-02
- Stop
- 2016-05-02
The parties
- Patient
- patient Sammie Boehm
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
39002795-4e34-d79b-e9e5-9262ad7d7143