Claim total
$223.37
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
- 2021-01-05
- Stop
- 2021-01-05
The parties
- Patient
- patient Nona Samara Gleichner
- Provider
- provider Burton O'Conner
- Payer
- payer Humana
Record id
0042ca65-dd9d-7221-e97b-8c79804636ed