Claim total
$221.08
base $93.39 · payer covered $171.08
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-07-26
- Stop
- 2021-07-26
The parties
- Patient
- patient Lanora Joycelyn Maggio
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
24517fae-7c38-3dbe-8bcc-6f9a7a12e302