Claim total
$220.97
base $93.39 · payer covered $220.97
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-08-08
- Stop
- 2020-08-08
The parties
- Patient
- patient Jonell Mirella Kerluke
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
084f0d96-54a9-8cd2-1378-2c411e142e5f