Claim total
$220.73
base $93.39 · payer covered $176.57
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-22
- Stop
- 2021-01-22
The parties
- Patient
- patient Dante Stevie Bartoletti
- Provider
- provider Greta Gutmann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
14c06153-55ef-b7c9-4382-23d331cb5814