Claim total
$224.62
base $93.39 · payer covered $189.62
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-31
- Stop
- 2020-12-31
The parties
- Patient
- patient Chi Yesenia Sanford
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
33c6a998-1b9c-bb04-cb33-31de3db0dd10