Claim total
$221.11
base $93.39 · payer covered $132.67
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-04-25
- Stop
- 2021-04-25
The parties
- Patient
- patient Dacia Emilie Beahan
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
20ef5063-3118-2154-01e5-9db00d610647