Claim total
$220.49
base $93.39 · payer covered $170.49
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-09-19
- Stop
- 2020-09-20
The parties
- Patient
- patient Breanne Pennie Sawayn
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0db4a798-0c32-fd1c-bf5c-5df6f1ac56c4