Claim total
$221.26
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
- 2021-07-30
- Stop
- 2021-07-30
The parties
- Patient
- patient Jimmie Broderick Grimes
- Provider
- provider Dale Mertz
Record id
219f4da8-83e2-fedd-caa1-160e95247c5d