Claim total
$222.31
base $93.39 · payer covered $177.84
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-31
- Stop
- 2020-12-31
The parties
- Patient
- patient Shane Fredricka Sanford
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicare
Record id
0cc8b4ab-e908-a6cb-a69a-1c63159fd853