Claim total
$220.54
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-04-21
- Stop
- 2021-04-21
The parties
- Patient
- patient María Sofia Navarrete
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
104425cb-fb36-bec3-f571-46147110d9e7