Claim total
$220.90
base $93.39 · payer covered $170.90
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-26
- Stop
- 2020-12-26
The parties
- Patient
- patient Bernard Gleichner
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
04317637-3b9f-f5e4-0b19-4ed8ec2d38df