Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2019-12-24
- Stop
- 2019-12-24
The parties
- Patient
- patient Arlene Maurine Dibbert
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
147bb29a-9ad7-3264-db25-e0f2db94d733