Claim total
$221.78
base $93.39 · payer covered $171.78
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-12
- Stop
- 2021-01-12
The parties
- Patient
- patient Elinore Danyelle Streich
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
03b3068a-a726-461a-fe7e-8a680248feb7