Claim total
$224.47
base $93.39 · payer covered $179.57
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-01
- Stop
- 2021-01-01
The parties
- Patient
- patient Celeste Asha Weimann
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Anthem
Record id
289c69a4-077d-4dc6-17e4-9d142e2a57e5