Claim total
$222.66
base $93.39 · payer covered $187.66
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-11
- Stop
- 2021-01-12
The parties
- Patient
- patient Benito Beau Keebler
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
21f14afd-a65c-85c6-fbf3-b795d53f85b0