Claim total
$222.74
base $93.39 · payer covered $172.74
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-06
- Stop
- 2020-12-06
The parties
- Patient
- patient Dominic Christian Metz
- Provider
- provider Adaline O'Reilly
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
14ebfd5c-f9ec-ad2c-6210-dadf11c5ee42