Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 1974-08-28
- Stop
- 1974-08-28
The parties
- Patient
- patient Jay Gerardo Bernhard
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
295a8330-1c69-d856-cec0-783119a77a1e