Claim total
$221.19
base $93.39 · payer covered $176.94
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-08-27
- Stop
- 2020-08-27
The parties
- Patient
- patient Venice O'Reilly
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0e2939c5-5704-820f-152d-a2880465400d