Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Atopic dermatitis24079001
- Start
- 1996-03-29
- Stop
- 1996-03-29
The parties
- Patient
- patient Tamesha Lecia Wyman
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
391bc040-899c-a7be-4aa0-837e2a7474b0