Claim total
$220.55
base $93.39 · payer covered $70.55
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-13
- Stop
- 2020-11-13
The parties
- Patient
- patient Danial Hal Lang
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06067a48-9015-34d7-f98c-e7478cf147f4