Claim total
$220.40
base $93.39 · payer covered $170.40
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-12-28
- Stop
- 2020-12-28
The parties
- Patient
- patient Berta María José Anaya
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1c7e06b6-7da5-69dd-91de-41f4211fe1da