Claim total
$220.47
base $93.39 · payer covered $170.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-10-24
- Stop
- 2020-10-24
The parties
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-8e9b-5bffe62d3823