Claim total
$222.73
base $93.39 · payer covered $72.73
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-09
- Stop
- 2020-12-09
The parties
- Patient
- patient Elliot Blaine Buckridge
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
00a5a31e-a2f8-175f-5dd6-aca9ae750620