Claim total
$220.26
base $93.39 · payer covered $49.91
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-07-26
- Stop
- 2020-07-26
The parties
- Patient
- patient Rudy Wisoky
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
12346f52-f820-8377-9aa6-c6785764c3d8