Claim total
$220.26
base $93.39 · payer covered $70.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-08-09
- Stop
- 2021-08-09
The parties
- Patient
- patient Britt Richard Klein
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
19266681-156c-f1ac-fb0e-d4f2fb25983c