Claim total
$220.98
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
- 2021-08-25
- Stop
- 2021-08-25
The parties
- Patient
- patient Leonel Hane
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
16fca4d9-de7b-1ffb-0097-4bc804ae9ad4