Claim total
$220.67
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
- 2020-12-19
- Stop
- 2020-12-19
The parties
- Patient
- patient Grazyna Michele Walker
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
2f9e540c-0591-eff5-b927-9a9201ec0dd0