Claim total
$222.98
base $93.39 · payer covered $172.98
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-10
- Stop
- 2020-12-10
The parties
- Patient
- patient Logan Stefan Crist
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
0bdc26bf-b2ef-ea95-277a-36ff3df225ed