Claim total
$221.22
base $93.39 · payer covered $171.22
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-19
- Stop
- 2020-12-19
The parties
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
383780d4-76d3-25d1-6e50-7cadca1561aa