Claim total
$221.32
base $93.39 · payer covered $177.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-10
- Stop
- 2020-12-10
The parties
- Patient
- patient Hung Jamaal Schmitt
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0e1d9890-92e3-08a2-4942-a2607bfb0dff