Claim total
$222.04
base $93.39 · payer covered $177.62
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-22
- Stop
- 2020-11-22
The parties
- Patient
- patient Niesha Versie Medhurst
- Provider
- provider Adaline O'Reilly
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
368e2682-1863-e9f9-b468-af13799cb0fa