Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2018-03-29
- Stop
- 2018-03-29
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Shellie Shanahan
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
02579c91-f636-e7d1-9839-205482242fe5