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
- 2021-03-24
- Stop
- 2021-03-24
The parties
- Patient
- patient Athena Scarlet Reynolds
- Provider
- provider Dee Ernser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
37e9fb27-a6fc-de33-dd08-bbe301b61659