Claim total
$220.26
base $93.39 · payer covered $185.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-31
- Stop
- 2020-12-31
The parties
- Patient
- patient Otto Cameron Barrows
- Provider
- provider Dale Mertz
- Payer
- payer Dual Eligible
Record id
3236b1f8-2bc1-3e38-fee0-ceb7f6b79b60