Claim total
$220.59
base $93.39 · payer covered $170.59
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-04
- Stop
- 2021-01-04
The parties
- Patient
- patient Florentino Crooks
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
0ed645d3-1659-0a65-2cf0-82680cfd154b