Claim total
$220.54
base $93.39 · payer covered $170.54
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-06-19
- Stop
- 2020-06-19
The parties
- Patient
- patient Griselda O'Kon
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
300328e6-1f06-f64e-143b-4a6e36be6d38