Claim total
$224.67
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-17
- Stop
- 2020-12-17
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Michael Dibbert
- Payer
- payer Anthem
Record id
023818a4-3852-fbab-27fb-518e8b016874