Claim total
$223.89
base $93.39 · payer covered $179.10
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-25
- Stop
- 2020-11-25
The parties
- Patient
- patient Hyman Margarito Harvey
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
1d1a4d65-4ced-3692-9670-6078e69bbd06