Claim total
$220.87
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
- 2021-01-16
- Stop
- 2021-01-16
The parties
- Patient
- patient Bobbie Raul Blanda
- Provider
- provider Adrienne Hills
- Payer
- payer Humana
Record id
2e83441f-9da8-cd64-59db-0a94b8410a5e