Claim total
$222.94
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
- 2020-09-24
- Stop
- 2020-09-24
The parties
- Patient
- patient Allan Ivan Kuphal
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
2cc14d47-c00d-f33b-e559-16a0c411d455