Claim total
$220.26
base $93.39 · payer covered $170.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-13
- Stop
- 2020-11-13
The parties
- Patient
- patient Joshua Tyesha Wuckert
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0c6cfdb0-0d6a-b176-40ca-b91447b856e8