Claim total
$223.75
base $93.39 · payer covered $173.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-01
- Stop
- 2020-11-01
The parties
- Patient
- patient Earle Delmer O'Keefe
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0fab17d0-04f6-462b-2308-2db214053aa5