Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Contact dermatitis40275004
- Start
- 2023-05-22
- Stop
- 2023-05-22
The parties
- Patient
- patient Jamison Spencer
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
322af8b2-a1f4-5e36-5c94-3c7d49ed02f4