Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2023-05-25
- Stop
- 2023-05-25
The parties
- Patient
- patient Anette Toya Brown
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
31533e40-3e99-a073-4eb2-278ccbe408d6