Claim total
$220.32
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
- 2021-07-18
- Stop
- 2021-07-18
The parties
- Patient
- patient Renata Crooks
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
1c924da4-1bbc-5147-871f-d401394b57a3