Claim total
$222.35
base $93.39 · payer covered $187.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-09-29
- Stop
- 2020-09-29
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Criselda Bartell
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-d21c-e00121b8328e