Claim total
$220.26
base $93.39 · payer covered $70.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-02-21
- Stop
- 2021-02-21
The parties
- Patient
- patient Fawn Fred Considine
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
3ac9b22c-79ba-7b95-211e-f45d87f5963d