Claim total
$221.14
base $93.39 · payer covered $171.14
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-10
- Stop
- 2021-01-10
The parties
- Patient
- patient Kiley Maisie Casper
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0a1845ad-d6fc-6e22-a384-e3ebd198dc0c