Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2017-09-07
- Stop
- 2017-09-07
The parties
- Patient
- patient César Ramón Mora
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
220c0399-d7a9-9463-fde5-e48162177092