Claim total
$222.63
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
- 2020-12-06
- Stop
- 2020-12-06
The parties
- Patient
- patient Pamula Ellan Kiehn
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
3a501eb2-e422-6d85-404b-4c4a9bd816ee