Claim total
$220.72
base $93.39 · payer covered $70.72
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-10-26
- Stop
- 2020-10-26
The parties
- Patient
- patient Hildred Melda Prohaska
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0be9d3c3-0d2e-b0d7-81ff-74dd0125fb3c