Claim total
$220.26
base $93.39 · payer covered $176.20
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-20
- Stop
- 2020-11-20
The parties
- Patient
- patient Elliot Gottlieb
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
18bccce9-570b-f6f7-7a66-0d49d85f0168