Claim total
$221.30
base $93.39 · payer covered $186.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-03-08
- Stop
- 2021-03-08
The parties
- Patient
- patient Merrilee Danika Lockman
- Provider
- provider Irmgard Padberg
- Payer
- payer Dual Eligible
Record id
3a0268da-7888-d772-a10c-9f4dcceeb8b0