Claim total
$220.90
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
- 2021-09-03
- Stop
- 2021-09-03
The parties
- Patient
- patient Darrin Sterling Stroman
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
136a97db-05da-4b74-e52b-e3eeb9892838