Claim total
$223.97
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
- 2020-08-05
- Stop
- 2020-08-05
The parties
- Patient
- patient Antonia Palacios
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
3695eacd-d76f-1a40-957d-524500e3ad09