Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 1967-02-21
- Stop
- 1967-02-21
The parties
- Patient
- patient Elisha Duncan Hartmann
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
0e205e2d-543b-28ab-b5ba-81fea040551c