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
- 2021-01-11
- Stop
- 2021-01-11
The parties
- Patient
- patient Dominick Feil
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
16f18334-a896-57d3-8a11-ef788c452a0b