Claim total
$223.61
base $93.39 · payer covered $73.61
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-10-17
- Stop
- 2020-10-17
The parties
- Patient
- patient Lamar Dalton Wehner
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicaid
Record id
0a5a56bf-f069-44b4-a92c-102423239186