Claim total
$220.76
base $93.39 · payer covered $220.76
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-05
- Stop
- 2021-01-05
The parties
- Patient
- patient Irish Milagros Bergnaum
- Provider
- provider Jonas Pouros
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0fed2443-9479-996b-742a-f0c47c0457e5