Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2020-01-28
- Stop
- 2020-01-28
The parties
- Provider
- provider Liz Kozey
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-f63c-ffe309b38a65