Claim total
$220.42
base $93.39 · payer covered $167.45
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-10-21
- Stop
- 2020-10-21
The parties
- Patient
- patient Martín Sancho Negrete
- Provider
- provider Adaline O'Reilly
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
0a909b67-d0cd-7ff7-11d8-5af081353fd3