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
- 2020-12-08
- Stop
- 2020-12-08
The parties
- Patient
- patient Robt Elwood Mills
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
31f4ae9d-6264-91c9-11ca-c8a1dc1df3c6