Claim total
$223.38
base $93.39 · payer covered $178.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-05-27
- Stop
- 2020-05-27
The parties
- Patient
- patient Lorenzo Ramiro Melgar
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
17370847-0ea5-3761-aa57-b7b178ca6580