Claim total
$221.49
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
- 2021-01-18
- Stop
- 2021-01-18
The parties
- Patient
- patient Roxie Leannon
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
3ada161d-facd-4476-799c-394f75563b8a