Claim total
$220.98
base $93.39 · payer covered $185.98
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-08-26
- Stop
- 2020-08-26
The parties
- Patient
- patient Marcelo Roland Daniel
- Provider
- provider Denna Feil
- Payer
- payer Dual Eligible
Record id
172af60a-c1b7-eaec-3ad6-e11043f7dd72