Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2018-07-12
- Stop
- 2018-07-12
The parties
- Patient
- patient Gregory Ethan Harvey
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06e1cc1c-d3f8-b9cb-ed1f-067053286b81