Claim total
$221.00
base $93.39 · payer covered $71.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-07-17
- Stop
- 2020-07-17
The parties
- Patient
- patient Maricela Gaye Labadie
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
204f0e38-5f88-c3c2-0c78-0cbaa8d384a0