Claim total
$222.42
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
- 2020-12-11
- Stop
- 2020-12-11
The parties
- Patient
- patient Helga Darci Dicki
- Provider
- provider Leila Thiel
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
232ea8f4-93f6-3362-ea7b-9fcebbea6a5a