Claim total
$221.49
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
- 2020-11-23
- Stop
- 2020-11-23
The parties
- Patient
- patient Caleb Ted Hilll
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
36c52f95-f5b0-b5d2-b6a1-887143c1c35e