Claim total
$222.70
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
- 2020-12-02
- Stop
- 2020-12-02
The parties
- Patient
- patient Robert Lavern Schaefer
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
335b9834-6d45-11e5-3295-01109f1a5778