Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2001-02-17
- Stop
- 2001-02-17
The parties
- Patient
- patient Ericka Norma Cole
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
25907c4a-2f11-4f5b-007e-4bf04e63af8e