Claim total
$220.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-13
- Stop
- 2021-01-13
The parties
- Patient
- patient Sommer Lila Goodwin
- Provider
- provider Adaline O'Reilly
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
24d76e87-c27b-19c2-2b05-e979bb4a0391