Claim total
$221.09
base $93.39 · payer covered $186.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-10-20
- Stop
- 2020-10-20
The parties
- Patient
- patient Kallie Roxane Rodriguez
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
294b84dd-0309-41d1-ba25-461b417f4496