Claim total
$220.26
base $93.39 · payer covered $170.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-07-10
- Stop
- 2020-07-10
The parties
- Patient
- patient Selma Gerlach
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
3277825b-5883-664a-10d8-227ded09c66a