Claim total
$223.21
base $93.39 · payer covered $173.21
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-04-24
- Stop
- 2020-04-24
The parties
- Patient
- patient Jamison Spencer
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
322af8b2-a1f4-5e36-268f-d4eb8a498653