Claim total
$222.05
base $93.39 · payer covered $172.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-06-19
- Stop
- 2021-06-19
The parties
- Patient
- patient Mary Teodoro Rutherford
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
250f5ef4-c14c-ed2f-f14d-b6a15f4fcd2d