Claim total
$222.64
base $93.39 · payer covered $72.64
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-28
- Stop
- 2020-11-28
The parties
- Patient
- patient Arlie Dee Shields
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
25630705-6421-63dd-194f-db2622a4a574