Claim total
$224.09
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
- 2021-01-02
- Stop
- 2021-01-02
The parties
- Patient
- patient Selina Lang Harvey
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
32100ffd-85d3-f11c-d9f5-40cbbedfeaa2