Claim total
$220.71
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
- 2020-12-18
- Stop
- 2020-12-18
The parties
- Patient
- patient Laveta Francene Weissnat
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
240d2fda-d10d-b793-097b-6debedeff8e8