Claim total
$223.54
base $93.39 · payer covered $73.54
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-05
- Stop
- 2020-12-05
The parties
- Patient
- patient Winifred Lelah Zulauf
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
1422a51d-cc3d-7733-5a88-1127bf51dd20