Claim total
$220.51
base $93.39 · payer covered $176.40
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-08-16
- Stop
- 2020-08-16
The parties
- Patient
- patient Jake Jeremy Osinski
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0dfbe012-8ee8-d7ad-1a1b-e6f2800abfcd