Claim total
$220.61
base $93.39 · payer covered $170.61
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 Hertha Conception Von
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0d4ddbb6-9f39-9726-b307-f903a1c46249