Claim total
$224.67
base $93.39 · payer covered $174.67
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-02-17
- Stop
- 2021-02-17
The parties
- Patient
- patient Shalon Arnetta Bosco
- Provider
- provider Elvin Johns
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03f768f4-038d-f7fd-9964-69ad24e551df