Claim total
$224.67
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
- 2020-09-02
- Stop
- 2020-09-02
The parties
- Patient
- patient Foster Les Kiehn
- Provider
- provider Joshua Dickens
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
223aff08-5e08-d011-9325-206e0f311e5f