Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Epidermal burn of skin403190006
- Start
- 2016-10-25
- Stop
- 2016-10-25
The parties
- Provider
- provider Silas Conn
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-ee64-a1962d844847