Claim total
$220.26
base $93.39 · payer covered $220.26
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 Christy Yaeko Ernser
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
13d69f71-e09f-b5dc-f48f-c11d1c0651aa