Claim total
$220.73
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
- 2020-04-27
- Stop
- 2020-04-27
The parties
- Patient
- patient Dexter Schmidt
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Anthem
Record id
383f38bb-1dfd-480d-c5cb-0776ceefcef9