Claim total
$221.58
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-03
- Stop
- 2020-12-03
The parties
- Patient
- patient Jolyn Braun
- Provider
- provider Marcus Douglas
- Payer
- payer No insurance
Record id
1fc4994f-8a32-2b7e-2301-f349fdb6c35c