Claim total
$223.81
base $93.39 · payer covered $188.81
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-30
- Stop
- 2021-01-30
The parties
- Patient
- patient Shanelle Neomi Labadie
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
2d4a29d8-843f-44db-e5a8-94351c33ee83