Claim total
$221.42
base $93.39 · payer covered $177.13
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-07-14
- Stop
- 2020-07-14
The parties
- Patient
- patient Kelley Bradtke
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
2237710c-939d-74db-75da-f5522d29965d