Claim total
$224.67
base $93.39 · payer covered $174.67
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-08-20
- Stop
- 2020-08-20
The parties
- Patient
- patient Deangelo Nienow
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2bbd76b7-e9a4-0597-c870-263a491107cd