Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2010-10-01
- Stop
- 2010-10-01
The parties
- Patient
- patient Keven Pouros
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
35738f47-113e-1cfd-2eab-24725d73a9ca