Claim total
$223.29
base $93.39 · payer covered $91.76
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-23
- Stop
- 2020-12-23
The parties
- Patient
- patient Coleen Emerald Braun
- Provider
- provider Richard Ledner
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Anthem
Record id
37d379f7-3ec3-0249-65d5-17e841961aa4