Claim total
$222.21
base $93.39 · payer covered $72.21
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-02-18
- Stop
- 2021-02-18
The parties
- Patient
- patient Martín Ramón Chacón
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
0b2edf0d-f30f-28e2-5ffa-368f8f8ca1e7