Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2021-01-11
- Stop
- 2021-01-11
The parties
- Patient
- patient Garret Salvatore Lebsack
- Provider
- provider Deeanna Reynolds
- Payer
- payer Humana
Record id
2b986872-6a56-67b8-bfd0-5310d0ab750c