Claim total
$221.48
base $93.39 · payer covered $71.48
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-10-29
- Stop
- 2020-10-29
The parties
- Patient
- patient Shon Stewart Considine
- Provider
- provider Trinity Mraz
- Payer
- payer Medicaid
Record id
2e06e0f7-a404-4867-26ad-14157ba88357