Claim total
$220.64
base $93.39 · payer covered $185.64
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-22
- Stop
- 2020-12-22
The parties
- Provider
- provider Greta Gutmann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
0ed67a32-bd3f-abe0-bd43-53c857842c65