Claim total
$222.51
base $93.39 · payer covered $72.51
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-08-24
- Stop
- 2020-08-24
The parties
- Patient
- patient Gerardo Armando Salinas
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
167ac4fe-9052-35f2-a8b2-cabdac38e381