Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2014-06-22
- Stop
- 2014-06-22
The parties
- Patient
- patient Jefferson Fredrick Stamm
- Provider
- provider Denver Glover
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-b209-a2bf6f83b233