Claim total
$223.70
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
- 2020-12-27
- Stop
- 2020-12-27
The parties
- Patient
- patient Keira Tona Smith
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Aetna
Record id
2ee18a5a-7976-7950-b1c9-ac3902371c86