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
- 2021-01-10
- Stop
- 2021-01-10
The parties
- Patient
- patient Rod Stephan Hansen
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
11fb16b6-432c-964f-3bca-26b97d1ae866