Claim total
$221.39
base $93.39 · payer covered $171.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-04-12
- Stop
- 2021-04-12
The parties
- Patient
- patient Wilfred Jeromy Nolan
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
339a5997-d469-f9bc-2a7c-98a82cc939a0