Claim total
$220.45
base $93.39 · payer covered $70.45
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-28
- Stop
- 2021-01-28
The parties
- Patient
- patient Josue Joaquin Nicolas
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
18b3ccbc-153b-4ee3-ad45-cfa62c442eda