Claim total
$224.67
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
- 2020-12-03
- Stop
- 2020-12-03
The parties
- Patient
- patient Kathy Crooks
- Provider
- provider Alleen Anderson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer No insurance
Record id
2f3349fa-f9ac-efca-771e-ec3f07249868