Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2002-04-29
- Stop
- 2002-04-29
The parties
- Patient
- patient Clarence Curtis Johnson
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
18a704fb-0dc4-6adf-328c-3d7b4ca3894a