Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 2002-03-25
- Stop
- 2002-03-25
The parties
- Patient
- patient Joye Rebecka Rutherford
- Provider
- provider Lindsay Russel
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
3664ee73-1dd3-5502-6414-da554e54e34f