Claim total
$220.26
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
- 2021-09-11
- Stop
- 2021-09-11
The parties
- Patient
- patient Vince Jude Tremblay
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
0f00a4c3-f6b5-b50e-4c99-28082551c504