Claim total
$220.87
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-07
- Stop
- 2021-01-07
The parties
- Patient
- patient Oscar Ricky Gerlach
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
2dbeb246-a994-b355-40ab-6b1dcc9e3c40