Claim total
$220.65
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
- 2021-01-28
- Stop
- 2021-01-28
The parties
- Patient
- patient Amal Adrianna Macejkovic
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
1cccf0c5-760b-d19d-d288-6529ba91acab