Claim total
$222.18
base $93.39 · payer covered $172.18
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-02-17
- Stop
- 2021-02-17
The parties
- Patient
- patient Cecil Mitchell Price
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
2d05c315-5062-3714-e0c1-280227789874