Claim total
$220.43
base $93.39 · payer covered $70.43
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-07-23
- Stop
- 2021-07-24
The parties
- Patient
- patient Blanca Ashely Stracke
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1a040f60-71f2-377a-4fc8-64a0c73bfb02