Claim total
$223.91
base $93.39 · payer covered $223.91
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-28
- Stop
- 2021-01-28
The parties
- Patient
- patient Ebonie Harris
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2480865a-bd42-7445-3202-754ce17233b3