Claim total
$221.12
base $93.39 · payer covered $171.12
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-22
- Stop
- 2020-12-22
The parties
- Patient
- patient Bernetta Dare
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
2253ffad-5335-0a17-09f6-9ad7c1a2b137