Claim total
$223.53
base $93.39 · payer covered $173.53
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-09-11
- Stop
- 2020-09-11
The parties
- Patient
- patient Teofila Virgina Tremblay
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
2571e7af-af29-523c-a6c9-5fc358ac163e