Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2016-07-26
- Stop
- 2016-07-26
The parties
- Provider
- provider Floyd Toy
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-1e8a-cf38dfc1d414